Objective. To examine student pharmacists' perceptions of interprofessional roles before and after completing an advanced pharmacy practice experience on solid organ transplantation. Methods. Student pharmacists across the United States participating in an APPE on a solid organ transplant team completed an online pre-and post-APPE survey instrument examining perceptions of interprofessional roles, communication, and teamwork. Results. Student pharmacists' scores on interprofessionalism increased significantly on 17 of 22 items. Positive changes were seen in the interprofessional education core competency areas of roles and responsibilities, interprofessional communication, and teams and teamwork. Conclusion. Student pharmacist participation in interprofessional clinical APPEs can positively influence their professional development as they prepare to become members of multi-disciplinary teams in the healthcare workforce.Keywords: interprofessional education, advanced practice pharmacy experience, multidisciplinary care
INTRODUCTIONInterprofessional education (IPE) encourages joint learning by practitioners and students from multiple professions with the goals of improving collaborative practice and the healthcare outcomes of patients.1 Some of the changes in Medicare, as well as many aspects of the Patient Protection and Affordable Care Act of 2010 2 and the National Committee for Quality Assurance Patient-Centered Medical Home 2011, promote team-based care models. These policies are expected to improve how healthcare professional curricula embraces IPE, both in the United States and globally. In 2011, an expert panel of professionals from pharmacy, nursing, medicine, public health, and dentistry developed and published a comprehensive report on Core Competencies for Interprofessional Collaborative Practice that highlights the necessity for IPE in order to provide high quality, safe care to all patients.
3The most important focus of IPE is the ability of the interdisciplinary team to improve patient outcomes.These include, but are not limited to, the enhancement of the quality of patient care, lowered costs, decreased patient length of stay, and reduced medical errors. 4 Working as a team has improved care and outcomes for patients in the areas of geriatrics, respiratory disease management, primary care, orthopedic surgery, and chronic pain, as well as in other specialty areas. 5 An Institute of Medicine report attributes many health care errors to diminished interprofessional cooperation and ineffective communication, suggesting that a goal of reducing patient errors by 50% in 5 years is achievable through improved interprofessional collaboration. 6 In addition to patient safety benefits, interprofessional teamwork is now recognized as an important strategy for shared decision making, a process that supports patient participation in achieving informed, preference-based choice.7 IPE is believed to be key to the success of shared decisionmaking models within primary care, with a focus on understanding interprofess...